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General NPI Number Information
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NPI Number | 1053620609
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Entity Type | Individual
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Provider Name | ALI ETESSAM D.D.S
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Gender | Male
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Dates
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Enumeration Date | 09/30/2010
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Last Update Date | 09/30/2010
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Provider Practice Location Address
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Address Line | 1575 PINE RIDGE RD SUITE 18
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City | NAPLES
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State | FL
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Zip | 34109-2107
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Country | US
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Telephone | 239-566-1940
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Fax |
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Provider Business Mailing Address
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Address Line | 1575 PINE RIDGE RD. SUITE 18
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City | NAPLES
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State | FL
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Zip | 34109
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Country | US
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Telephone | 239-566-1940
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN14988
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License Number State | FL
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